Organization
PARADISE CONGREGATE LIVING INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. LILIANA COHEN MD (CEO)
(855) 747-0777
Entity
Organization
Contact information
Practice address
14822 COHASSET ST, VAN NUYS, CA 91405-1803
(855) 747-0777
Mailing address
14822 COHASSET ST, VAN NUYS, CA 91405-1803
(855) 747-0777
Taxonomy
Speciality
Code
Description
License number
State
313M00000X
Nursing Facility/Intermediate Care Facility
Primary
550003206
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
5404141
—
CA
01
—
550003206
CDPH
CA
Enumeration date
04/06/2014
Last updated
07/21/2022
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